HIV & AIDSInfectious DiseasesSexually Transmitted Diseases - STDs

HIV Types (HIV-1 & HIV-2): Understanding HIV-2

Human immunodeficiency virus (HIV), both types, is a virus that attacks the immune system and causes acquired immunodeficiency syndrome (AIDS). It was first identified in 1981 and has since become a global pandemic.

HIV can be classified into two types: HIV-1 and HIV-2. Both types are similar in many ways, but there are also important differences between them.

HIV Types (HIV-1 & HIV-2)

This article aims to provide an in-depth understanding of the key differences between HIV-1 and HIV-2, including their origins, characteristics, and modes of transmission.

What is HIV Type-1?

HIV-1 is the most common and virulent strain of the virus. It is responsible for the majority of HIV infections and AIDS cases worldwide. The origin of HIV-1 is believed to be in West Africa, where it likely crossed over from non-human primates to humans, then became human to human. It then spread globally through travel and sexual contact. HIV-1 is highly infectious and can rapidly progress to AIDS if left untreated. It can be transmitted through blood, semen, vaginal fluid, and breast milk.

What is HIV Type-2?

HIV-2: HIV-2 is a less common and less virulent strain of the virus that primarily affects people in West Africa. Like HIV-1, the origin of HIV-2 is believed to be in West Africa, where it crossed over from non-human primates to humans. However, it has not spread globally as extensively as HIV-1. HIV-2 is less infectious and progresses more slowly to AIDS compared to HIV-1. It can be transmitted through the same bodily fluids as HIV-1, but it is less easily transmitted through sexual contact.

Differences between the two HIV Types

A. Mode of Transmission: While both types of HIV can be transmitted through blood, semen, vaginal fluid, and breast milk, HIV-1 is more easily transmitted through sexual contact compared to HIV-2.

B. Disease Progression: HIV-1 progresses more rapidly to AIDS compared to HIV-2, which has a slower progression.

C. Antibody Detection: Antibodies produced in response to HIV-1 and HIV-2 can be detected by tests, but some tests may not accurately detect HIV-2.

D. Treatment and Medication: HIV-1 and HIV-2 are both treatable, but the medications used for treatment may differ between the two types.

DifferencesHIV-1HIV-2
Origin Start
Dicovered
West Africa
First
West Africa
Later
Transmission
Sex Trans
Mother to Baby
Sexual, blood-to-blood, mother-to-child
Faster
15% – 45%
Sexual (less), blood-to-blood
Slower (3 times)
Less than 5%
Infectivity/Virulence
Incubation
High
2 to 4 weeks
Low
2 to 4 weeks
Progression to AIDSFaster
7-10 years
Slower
10-25 years
Tests
Ab tests
ELISA, Western Blot
Accurate
ELISA, Western Blot, Line Immunoassay
Less accurate
TreatmentAntiretroviral therapyAntiretroviral therapy
PrevalenceGlobalMainly in West Africa

Diagnosis and Testing of HIV

Tests for HIV-1 and HIV-2 include antibody tests, antigen/antibody tests, and nucleic acid tests (NATs). While tests for HIV-1 are generally accurate, tests for HIV-2 may not be as accurate and may require follow-up testing. Early diagnosis is critical for effective treatment and management of both HIV types.

Prevention and Management

Safe sex practices, such as condom use and pre-exposure prophylaxis (PrEP), can help prevent the transmission of HIV-1 and HIV-2.

SUMMARY

Understanding the differences between HIV Types, (HIV-1 and HIV-2), is crucial for proper diagnosis and treatment. Early diagnosis and effective treatment, as well as prevention measures, are important in controlling the spread of HIV-2. This article provides a comprehensive overview of the key differences between the two types of HIV and highlights the importance of addressing the issue of HIV-2.

SOURCES

One thought on “HIV Types (HIV-1 & HIV-2): Understanding HIV-2

  • Good evening, thank you doctor for your continued concern and for your humanitarian work. I took the combo test and the result was negative after 29 days.
    Is it considered final after this period
    Is it scientifically final after this period?
    And is there a seroconversion after 4
    Weeks, and are there rare cases after 4 weeks, because many countries, especially America and Europe, changed the recommendation from 4 weeks to 6 weeks?

    Reply

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